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RC-08-22-2131Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 10/20/2022 Permit NO.: RC-08-22-2131 Permit Type: Building (Residential) Work Classification: Kitchen Cabinets Permit5tatus: Approved Expiration: 04/20/2023 Location Address Parcel Number 1240 NE 97TH 5T, Miami Shores, FL 33138 11.32050090590 Contacts RON KURTZ Owner OWNER Contractor RBKACQ@GMAIL.COM Description: INSTALL NEW CABINETS IN KITCHEN. Valuation: $ 20,000.00 Ins ec .on Requests: 305-762-4949 NSTALATION TO INCLUDE BACKSPLASH . ELECTRICAL WHICH INCLUDED SMOKE DETECTORS WAS COMPLETED UNDER Total Sq Feet: 232.00 EL-05-21-1194 Fees Amount Application Fee - Other $50.00 CCF $12.00 Certificte of Completion for Single Fam $50.00 and Duplex DBPR Fee $9.00 DCA Fee $6.00 Education Surcharge $6.00 Permit Fee $550.00 Scanning Fee $9.00 Technology Fee $60.00 Total: $752.00 Payments Date Paid Amt Paid Total Fees $752.00 Credit Card 10/20/2022 $702.00 Credit Card 08/24/2022 $50.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wit all applicable laws regulating constructio d zoning. Futhermore, I authorise the above named contractor to do the work stated. Authorized Sign t re: owner / pprcant / Contractor / Agent Date October 20, 2022 Page 2 of 2 ENTERED Miami Shores Village AUG 24Z02Z Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY- Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ;EszUILDING ❑ ELECTRIC ❑ ROOFING FBC 2020 - -14% Master Permit No. lippd- 08' ZZ - ZI31 Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 19, Folio/Parcel#: I t _ 3005 "009 —059 () Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: / �FloodZone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): P��� Q: ^-C, Phone#: '-v , U Address: I d—{V evL' —r r—>r City: M i an� (My- C, State: Tenant/Lessee Name: Email: Vl kQ LC1 GM�II + LC)� CONTRACTOR: Company Name, Address: Email: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: of Competency #: City: State: Zip: Value of Work for this Permit: $ dot 0I6 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description Submittal Fee Scanning Fee $ Technology Fee $ Permit Fee $ DCA Fee $ Training/Education Fee $ CO/CC$ EL'-0-55 DBPR $ Notary $ Double Fee $ _ P&Z Review $ Bond $ TOTAL FEE NOW DUE $V — -1) 'll Structural Reviews $ (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) ryy. Mortgagle Leni3esr'r, Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven 1`7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 0 ER or AGENT The foregoing instru nt was acknowledged before me this day of+ 20.,4,-9— , by who' ersonally known o . me or who has produced as identification and who did take an oath. NOTARY Sign: _. . �r�..,rrrr+lY�Y Print: ,: •'1- _ GEL;:--LAND0 L41!;OMMISSION►r-. 17202 Seal: �..:. ": ,Fah• d3 Signatu CONTRACTOR The foregoing instrument was acknowledged before me this day of me or who has produced 20 , by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as #######}}#ii#R}#i##ii#tititti##tii#i#iiiii#iiiiiii##i#i#itit#t Rii4itiiiii#ii#itt##################iit#iiiiRt APPROVED BY" luI1r 12-Z Plans Examiner Zoning (Revised04/0S,h022) Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 n 1OyWrNER/BUILDER DISCLOSURE STATEMENT h NAME: �Un 1 e�-k. A-z, (1 DATE: /- �(f2, I d-O I ?� ADDRESS: k4o AJV ��)r lIVh� UIO+j� l �3/v Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor, I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. you may build or Improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial *::�� 2. 1 understand that building permits are not required to be signed by a property owner unless he or she Is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that, man owner builder, I am the responsible party of record on a permit. I understa d that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contratts. Initia 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. S. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise pWons working uilding or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law an cou municipal ordinance. •---P In rt 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously Implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and a limits of my insurance coverage for injuries to workers on my property. I iti 8. 1 understand that I may not delegate the responsibility for supervising work to be a license contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I on stand that my failure to follow these may subject to serious financial risk. 9. 1 agree that, as the party legally and financially responsible for this proposed Construction acti ty, I will abide by all a plicable laws and requirememthat govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Reve a Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact Flori Construction Industry Licensing Board at 850.487.1395 or http:/Jwww.mvfloridalicense.com/dbpr/pro/Cilb/indft.htrnl-- Il- I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible fort a ropo d construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of he informati that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a pers who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also Important for you to understand that, If an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible far issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this ­2 3 day of �, 20 L)c7— Bwh was personally known t me or who has Produced there License or OWNER ,.•;;�: ••., ANGELA .... PAY COMAIISSICIIIGO327M E%P1.99:lAy 19,2023 Property Search Application - Miami -Dade County Page j of t �4, J OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information-__...._..®_®..._.�._ Folio: 11-3205-009-0590 Property Address: 1240 NE 97 ST Miami Shores, FL 33138-2560 Owner RON KURTZ Mailing Address PA Primary Zone 1240 NE 97 ST MIAMI SHORES, FL 33138 USA 1400 SGL FAMILY - 3001-3250 SO _ Primary Land Use !Beds I Baths / Half 0101 RESIDENTIAL -SINGLE (FAMILY: 1 UNIT 3/2/0 Floors 1 Living Units 1 Actual Area 2,841 Sq.Ft Living Area 2,041 Sq.Ft Adjusted Area 2,414 Sq.Ft Lot Size 12,262.5 Sq.Ft Year Built 1951 Assessment Information Year 2022 2021 2020 Land Value $711,201 $463,251 $463,251 Building Value $253,470 $181,050 $181,050 XF Value $0 $0 $0 Market Value $964,671 $644,301 $644,301 Assessed Value 1 $663,630 $644,301 $644,301 Benefits Information iBenefit Type 2022 2021.2020 Save Our Homes Assessment $301,041 Cap Reduction Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (Le. County, School Board, City, Regional). Short Legal Description 5 53 42 FARLETON SHORES PB 43-80 W1/2 LOT 16 & LOT 17 BLK 4 LOT SIZE IRREGULAR Generated On: 8/24/2022 Taxable Value Information 1 2022J__ 20212020 County Exemption Value $50,000 $50,000 $0 Taxable Value 1 $613,6301 $594,3011 $644,301 School Board Exemption Value 1 $25,000 $25.000 $0 Taxable Value $638,630 $619,301 $644,301 city Exemption Value $50,000 $50,000 $0 Taxable Value 1 $613,630 $594,301 $644,301 Regional Exemption Value 1 $50,000 $50,000 $0 Taxable Value 1 $613,630 $594,301 $644,301 Sales Information Previous Price OR Book- Qualification Description Sale Page Corrective, tax or QCD; min 12/23/2020 $100 323034881 consideration 12/23/2020 $729,000 322784370 Qual by exam of deed Corrective, tax or QCD; min 10/18/2011 $100 27880-0416 consideration The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:itw .miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 8/24/2022